APEA 3P EXAM PREP
1. Most common type of skin cancer in USA
Answer Skin cancer
2. Most common type of skin cancer
Answer basal cell carcinoma
3. basal cell carcinoma symptoms
Answer Appearance varies; smooth, shiny bump, pink to pearly white
4. Basal cell carcinoma common locations
Answer cheeks, nose, face, neck, arms, back
5. basal cell carcinoma diagnosis gold standard
Answer biopsy. if not an option, refer to derm
6. Actinic keratosis
Answer Precursor to squamous cell carcinoma
numerous dry, round and pink to red lesions w/ rough and scaly texture
--> does not heal, slow growing in sun exposed areas
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7. Actinic keratosis diagnosis gold standard
Answer Biopsy. if not an option, refer to derm
8. Actinic keratosis treatment gold standard
Answer small- cryotherapy
large- number 5-FU (5-flouracil aka efudex). 5-FU medication Causes skin to ooze, crust, scab and
be red
**5-flouracil/ efudex-wear sunscreen!!**
9. squamous cell cancer
Answer chronic red scaly rough textured lesion w/ irregular borders
crusting or bleeding may be present
10. Squamous cell carcinoma common locations
Answer rims of ears, lips, nose, face and top of hands
11. precursor lesion to squamous cell cancer
Answer actinic keratosis
12. squamous cell carcinoma diagnosis by?
Answer biopsy gold standard. if biopsy is not an option, refer to dermatology .
13. Risk factors for skin cancer(melanoma and both non-melanoma)
Answer Blistering sunburn as a child, history of sunburns, light skin, chronic exposure to UV
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light (sunlight/tanning beds), moles, family hx for skin cancer
14. Melanoma symptoms (ABCDE)
Answer asymmetry (shape/uneven texture) border (irregular/notched/blurred)
color (variegated colors from black, blue, dark to light brown)
diameter (size >6mm size of pencil eraser or larger) evolving
(changes in color/size/shape)
may be itchy
15. Acral lengtiginous melanoma
Answer Most common type of melanoma in dark skinned individuals (blacks & asians)
--> look for longitudinal brown to black bands under the nailbed. a changing spot or mole in the
palms, or the soles of the feet
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16. seborrheic keratosis
Answer soft, round, wart-like growth that is light tan to black and looks pasted on
asymptomatic &benign
17. Bacterial Meningitis Bacteria
Answer Streptococcus pneumoniae- most common strain
Haemophilus influenzae Neisseria
meningitidis Escherichia coli
*others
18. Bacterial meningitis symptoms (Classic Triad)
Answer High fever Nuchal rigidity
rapid change in mental status w/ headache
Triad=neck up
erythematous spot-like rash (petechiae) ecchymosis to purple-colored lesions (pur- pura) which
are non-blanchable
19. Is bacterial meningitis a reportable disease
Answer yes!
20. Treatment for Bacterial meningitis-patient
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